Provider Demographics
NPI:1508648080
Name:RUDENS VIERA NP PC
Entity Type:Organization
Organization Name:RUDENS VIERA NP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUDENS
Authorized Official - Middle Name:VIERA
Authorized Official - Last Name:GALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-812-3950
Mailing Address - Street 1:PO BOX 230641
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77223-0641
Mailing Address - Country:US
Mailing Address - Phone:832-812-3950
Mailing Address - Fax:
Practice Address - Street 1:6060 BELLAIRE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5425
Practice Address - Country:US
Practice Address - Phone:832-649-2169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty